DNP 810 What model would you use to create a multigenerational family health history for a patient?

Grand Canyon University DNP 810 What model would you use to create a multigenerational family health history for a patient?-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 810 What model would you use to create a multigenerational family health history for a patient? assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DNP 810 What model would you use to create a multigenerational family health history for a patient?                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 810 What model would you use to create a multigenerational family health history for a patient? depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DNP 810 What model would you use to create a multigenerational family health history for a patient?                         

The introduction for the Grand Canyon University DNP 810 What model would you use to create a multigenerational family health history for a patient? is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DNP 810 What model would you use to create a multigenerational family health history for a patient?                         

After the introduction, move into the main part of the DNP 810 What model would you use to create a multigenerational family health history for a patient? assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DNP 810 What model would you use to create a multigenerational family health history for a patient?                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DNP 810 What model would you use to create a multigenerational family health history for a patient?                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DNP 810 What model would you use to create a multigenerational family health history for a patient?

Re: Topic 3 DQ 1

Understanding family health history is imperative in helping to assess the risk for disease in other family members. The greater the number, the greater the risk. A 2019 report noted that by using family health history tools, data improvement increased by over 46% (Ginsburg et al., 2019). A structured pedigree can be formed using the tool rather than standard data recording.

For many years people have been collecting family data and recording it as history. My own family has spent countless days in libraries, public record offices, and even family cemeteries trying to track down the family tree. Something that was always intriguing, but in hindsight is highly beneficial, is the record of the cause of death and any reference to medical issues suffered. Although record-keeping in the 1800s was not great, families kept records without even realizing that is what they were doing. Family Bibles are full of information and were used for this reason (Tabler, 2019). Bibles came with ledgers to record the family’s births, deaths, marriages, divorces, and illnesses.

Welch et al. (2018) reviewed 17 different family history tools and noted the differences and abilities of each. It was found that each had its own pros and cons based on what the individual needed. Some strictly catered to the patient or family, while others included a provider aspect. And several were clinician-supported only. Depending on the function desired, there is a family history tool available. MyLegacy and MyTree are the only two on the list that allowed for family and clinician decision support. While MyLegacy is the only one of the two that has genetic support services affiliated with them.

Choosing a model will most definitely need to be based on what the family and clinician are looking for. From major diseases only to subcategories or genetic testing along with collaborative support. These requirements are the ones that must need be decided before choosing a model to fit.

References

Ginsburg, G. S., Wu, R., & Orlando, L. A. (2019). Family health history: Underused for actionable risk assessment. The Lancet, 394(10198), 596–603. https://doi.org/10.1016/s0140-6736(19)31275-9

Tabler, D. (2019, September 20). The family bible. Appalachian History. https://www.appalachianhistory.net/2019/09/family-bible.html

Welch, B. M., Wiley, K., Pflieger, L., Achiangia, R., Baker, K., Hughes-Halbert, C., Morrison, H., Schiffman, J., & Doerr, M. (2018). Review and comparison of electronic patient-facing family health history tools. Journal of Genetic Counseling, 27(2), 381–391. https://doi.org/10.1007/s10897-018-0235-7

Sample Answer 2 for DNP 810 What model would you use to create a multigenerational family health history for a patient?

Family health history is a risk factor for any health condition. Multiple generations and multiple family members can be challenging and genetics and environment can reflect health issues. Routinely-collected electronic databases have many advantages for constructing family health histories and they can provide objective measures of health, complete or near-complete coverage of the population of a country or region, and span multiple decades, generations, and family members. Requiring adjustment and management from the family system, particularly when the diagnosis is recent and the importance of the role of provider to inform and educate family members.

A recent study using a family-systems perspective showed how an HD diagnosis opened up a process of “making sense” about the disease in the family, contributing to improved awareness and activating a transgenerational process to understand it (Oliveira et al. 2020). Huntington Disease (HD) is characterized by involuntary movements with cognitive and behavioral disturbances. It occurs as a result of cytosine, adenine, and guanine (CAG) trinucleotide repeats on the short arm of chromosome 4p16.3 in the Huntingtin (HTT) gene. Diagnosis can be made clinically in a patient with motor and or cognitive and behavioral disturbances with a parent diagnosed with HD and can be confirmed by DNA determination. There is no cure for the disease, and affected patients tend to be entirely dependent on their caregiver as the disease progresses. The treatment is aimed at improving the quality of life and decreasing complications. There are therapies under investigation and still working on it if it will be appropriate for HD patients. Experimental therapies include pridopidine, laquinimod as well as a semaphorin-4D neutralizing antibody that are still in development. Gene silencing to target the cause of HD has been shown to be safe in preclinical animal studies. These aim to either silence all HTT expression non-selectively or selectively for the mutated HTT allele. Cell transplantation has shown variable results and safety, as well as the efficacy of intravenously injecting mesenchymal stem cells, is being tested. Recent studies suggest that the mutated HTT gene can spread into the allografted neural tissue. The management of HD is challenging and complex and treatment team should include  expertise of a psychologist, psychiatrist, physiatrist, internist, family practitioner, and social worker. should provide a standardized medical, surgical, and non-pharmacological treatment to improve the care and quality of life of patients. The nurses will assist the team by monitoring the patient for pain, atelectasis, and deep vein thrombosis and to improve the quality of life. The need for planning and discussion with other professionals involved in the management of the patient is highly recommended to lower the morbidity and improve outcomes. The roles emerging in this study, in comparison with data available for other genetic conditions, such as FAP (Oliveira et al. 2017a) and hereditary cancers (Ashida et al. 2011), portray participant families as “beginners” in understanding and incorporating HD in their lives.

References:

Ashida S, Hadley DW, Goergen AF, Skapinsky KF, Devlin HC, Koehly LM. The importance of older family members in providing social resources and promoting cancer screening in families with a hereditary cancer syndrome. Gerontologist. 2011;51:833–842. doi: 10.1093/geront/gnr049.

Caron NS, Wright GEB, Hayden MR. Huntington Disease. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Gripp KW, Mirzaa GM, Amemiya A, editors. GeneReviews® [Internet]. University of Washington, Seattle; Seattle (WA): Oct 23, 1998. [PubMed]

Oliveira CR, Mendes A, Sousa L. Health promotion in families with paramyloidosis: the role of elders with younger family members. Cad Saude Publica. 2017;33:e00185515.

Oliveira CR, Mendes Á, Sequeiros J, Sousa L. Management of information within Portuguese families with Huntington disease: a transgenerational process for putting the puzzle together. Eur J Hum Genet. 2020;28:1210–1217. doi: 10.1038/s41431-020-0630-z.

DNP-810 Topic 3 DQ 2 Sample Answer

Comprehensive patient health assessment is an important first step in developing a plan to deliver the best patient care. Health assessments are a key part of a nurse’s role and responsibility. The assessment is a tool to learn about patient’s concerns, symptoms and overall health. A comprehensive health assessment usually begins with a health history, which includes information about the patient’s past medical illnesses or injuries including childhood illnesses and immunizations, hospitalizations, surgeries, allergies and chronic illnesses. It also includes patient family history, environmental and genetic factors. 

Environmental exposures substantially contribute to the etiology of many common complex human diseases. Environmental exposure means chemicals such as metals and solvents, and biological agents such as toxins released from mold and bacteria, that are contaminants of the natural environment of air, water, and soil. It also encompasses lifestyle factors such as diet and physical activity. For most common diseases, such as obesity, asthma, and neurodegenerative disease, environmental exposures represent an important factor contributing to the development and progression of disease. With information about the patient’s genetic predisposition being vital for the identification of the right diagnosis, treatment, and dosage, a comprehensive health examination is not possible without considering genomic influences. 

DNP prepared nurse can demonstrate a high level of awareness in the field of genomics, and may identify patients at risk of genetically determined diseases. To increase the nurse’s genomic competencies, DNP prepared nurse can provide additional educational opportunities for nurses in those areas for improved outcome. 

McCormick, K. A., & Calzone, K., A. (2016). The impact of genomics on health outcomes, quality and safety. Nursing Management, 47(4), 23-26. Web.